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WO2010053575A3 - Appareil et procédé de détection de surchauffe durant une chirurgie au laser - Google Patents

Appareil et procédé de détection de surchauffe durant une chirurgie au laser Download PDF

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Publication number
WO2010053575A3
WO2010053575A3 PCT/US2009/006021 US2009006021W WO2010053575A3 WO 2010053575 A3 WO2010053575 A3 WO 2010053575A3 US 2009006021 W US2009006021 W US 2009006021W WO 2010053575 A3 WO2010053575 A3 WO 2010053575A3
Authority
WO
WIPO (PCT)
Prior art keywords
radiation
emitted
during laser
laser surgery
overheating during
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2009/006021
Other languages
English (en)
Other versions
WO2010053575A4 (fr
WO2010053575A2 (fr
Inventor
Joe Denton Brown
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to EP09825134.1A priority Critical patent/EP2349048B1/fr
Priority to US13/127,911 priority patent/US9259270B2/en
Publication of WO2010053575A2 publication Critical patent/WO2010053575A2/fr
Publication of WO2010053575A3 publication Critical patent/WO2010053575A3/fr
Publication of WO2010053575A4 publication Critical patent/WO2010053575A4/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/10—X-ray therapy; Gamma-ray therapy; Particle-irradiation therapy
    • A61N5/1048—Monitoring, verifying, controlling systems and methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00057—Light
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00084—Temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00115—Electrical control of surgical instruments with audible or visual output
    • A61B2017/00119—Electrical control of surgical instruments with audible or visual output alarm; indicating an abnormal situation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00696—Controlled or regulated parameters
    • A61B2018/00714—Temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B2018/2035—Beam shaping or redirecting; Optical components therefor
    • A61B2018/20361—Beam shaping or redirecting; Optical components therefor with redirecting based on sensed condition, e.g. tissue analysis or tissue movement
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/007—Aspiration
    • A61B2218/008—Aspiration for smoke evacuation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N2005/0626—Monitoring, verifying, controlling systems and methods
    • A61N2005/0627—Dose monitoring systems and methods
    • A61N2005/0628—Dose monitoring systems and methods including a radiation sensor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N2005/063—Radiation therapy using light comprising light transmitting means, e.g. optical fibres
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N5/0601—Apparatus for use inside the body
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01J—MEASUREMENT OF INTENSITY, VELOCITY, SPECTRAL CONTENT, POLARISATION, PHASE OR PULSE CHARACTERISTICS OF INFRARED, VISIBLE OR ULTRAVIOLET LIGHT; COLORIMETRY; RADIATION PYROMETRY
    • G01J1/00—Photometry, e.g. photographic exposure meter
    • G01J1/02—Details
    • G01J1/04—Optical or mechanical part supplementary adjustable parts
    • G01J1/0407—Optical elements not provided otherwise, e.g. manifolds, windows, holograms, gratings
    • G01J1/0425—Optical elements not provided otherwise, e.g. manifolds, windows, holograms, gratings using optical fibers
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01J—MEASUREMENT OF INTENSITY, VELOCITY, SPECTRAL CONTENT, POLARISATION, PHASE OR PULSE CHARACTERISTICS OF INFRARED, VISIBLE OR ULTRAVIOLET LIGHT; COLORIMETRY; RADIATION PYROMETRY
    • G01J1/00—Photometry, e.g. photographic exposure meter
    • G01J1/02—Details
    • G01J1/04—Optical or mechanical part supplementary adjustable parts
    • G01J1/0407—Optical elements not provided otherwise, e.g. manifolds, windows, holograms, gratings
    • G01J1/0459—Optical elements not provided otherwise, e.g. manifolds, windows, holograms, gratings using an optical amplifier of light or coatings to improve optical coupling

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Optics & Photonics (AREA)
  • Electromagnetism (AREA)
  • Otolaryngology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Laser Surgery Devices (AREA)
  • Radiation-Therapy Devices (AREA)
  • Endoscopes (AREA)

Abstract

L'invention porte sur un procédé et un appareil destinés à améliorer la sécurité d'une procédure chirurgicale mettant en jeu l'administration d'énergie laser à un tissu, lequel procédé implique l'amélioration ou l'augmentation de la détectabilité d'un rayonnement émis par le tissu ou par toute partie d'un instrument chirurgical ou dispositif par la fourniture d'un matériau sacrificiel qui absorbe le rayonnement émis durant la procédure chirurgicale, augmentant ainsi la température d'une surface sur laquelle le matériau est disposé et/ou provoquant un rayonnement néfaste devant être émis de telle sorte qu'il peut être détecté par surveillance de la température de la surface et/ou du rayonnement, incluant une lumière infrarouge et/ou visible, émis par la surface. Dans un mode de réalisation préféré de l'invention, le matériau absorbant le rayonnement est une gaine conçue pour entourer la fibre.
PCT/US2009/006021 2008-11-07 2009-11-06 Appareil et procédé de détection de surchauffe durant une chirurgie au laser Ceased WO2010053575A2 (fr)

Priority Applications (2)

Application Number Priority Date Filing Date Title
EP09825134.1A EP2349048B1 (fr) 2008-11-07 2009-11-06 Appareil de détection de surchauffe durant une chirurgie au laser
US13/127,911 US9259270B2 (en) 2008-11-07 2009-11-06 Apparatus and method for detecting overheating during laser surgery

Applications Claiming Priority (8)

Application Number Priority Date Filing Date Title
US19323108P 2008-11-07 2008-11-07
US61/193,231 2008-11-07
US17379909P 2009-04-29 2009-04-29
US61/173,799 2009-04-29
US18333409P 2009-06-02 2009-06-02
US61/183,334 2009-06-02
US23231409P 2009-08-07 2009-08-07
US61/232,314 2009-08-07

Publications (3)

Publication Number Publication Date
WO2010053575A2 WO2010053575A2 (fr) 2010-05-14
WO2010053575A3 true WO2010053575A3 (fr) 2010-07-29
WO2010053575A4 WO2010053575A4 (fr) 2010-09-10

Family

ID=42153460

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2009/006021 Ceased WO2010053575A2 (fr) 2008-11-07 2009-11-06 Appareil et procédé de détection de surchauffe durant une chirurgie au laser

Country Status (3)

Country Link
US (1) US9259270B2 (fr)
EP (1) EP2349048B1 (fr)
WO (1) WO2010053575A2 (fr)

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US10398508B2 (en) * 2012-02-07 2019-09-03 Joe Denton Brown Protective sheath and method of using same for laser surgery
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US20150216601A1 (en) * 2013-03-15 2015-08-06 Joe Denton Brown Protective sheath positioning arrangement and method, and miniature fiber lock connector for use therewith
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US20150148789A1 (en) * 2013-03-15 2015-05-28 Joe Denton Brown Method of positioning a surgical laser fiber and surgical laser fiber positioning arrangement including a flexible introducer sleeve for implementing the positioning method
US20140316397A1 (en) * 2013-03-15 2014-10-23 Joe Denton Brown Protective Sheath for Surgical Laser Fiber
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US9259270B2 (en) 2016-02-16
WO2010053575A2 (fr) 2010-05-14
EP2349048B1 (fr) 2017-04-26
EP2349048A4 (fr) 2013-07-03
EP2349048A2 (fr) 2011-08-03
US20110213349A1 (en) 2011-09-01

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